" A very inspiring day was the third symposium of the Anthroposophical Health Research Group at Leiden University on Friday, November 12, 2010 on " Promote health (see "Looking back ). Now we expect anything else - every time we are really in Leiden pampered - but this time the symposium was a real added value. Not so much because in the auditorium, not at the entrance, but at the rear of the building, held, or because in between becoming a surprising overture jointly by father Adriaan Bekman on bass saxophone and daughter Michaela Bekman met eurythmy was presented. Even though that was little gems! Maybe it was the international speakers: Bengt Lindström from Finland, Max Moser from Austria and Annette Weiss Kircher from Germany. But the contribution of Peter Kooreman and Erik Baars himself was there. The first four mentioned are all Professor, PhD Erik Baars (The complete program can be found here ). Anyway, this symposium stood as a rock.
Bengt Lindström, that you almost have a professor salutogenesis can call, gave an overview of his knowledge in this field. And that was great. So it was about the ability of health resources to tap and use. We are not focused only on getting rid of disease. He called it a way of life: find your own sources at different levels, starting with your own feelings. He also outlined the five main problems: smoking, inactivity, poor diet, alcohol and mental problems. He is co-author of the upcoming book The Hitchhiker's Guide to Salutogenesis.
Max Moser, University of Graz, studies the biology of rhythms: chronobiology. He had a very interesting story. Unlike Lindström, mostly behind his laptop tired of his Powerpoint presentation, but good to get the limelight, he made direct contact with the audience. Problem here was again the understanding: as a German in English begins to speak, you must double your ears prick. Moser loved the fact that with such concrete examples came. After a general story about the importance of rhythms and sleep, he came to research which showed that women who work in shifts a greater risk of breast cancer. And even more was his research into euritmietraining, complete with brass rods for construction workers to reduce accidents. It worked very well, especially after two months showed the quality of their sleep. The accidents increased proportionally down from five percent or even zero. The investigation was expanded to 85 companies: 50% fewer illnesses, 25% fewer accidents. The conclusion of Moser: chronobiology is as important as physical and mental health. The time of the human organism is of great (and perhaps decisive) influence.
Erik Baars went in his contribution to this theme by: you have to think much more dynamic, not only in terms of sick or healthy, but in rhythms, in time. Your body is an organism that constantly renews completely. He came to encouraging self-regulation at three levels: physical, psychosocial, signifying. And he figures could provide concrete examples. The treatment of inflammation and fever for example, to disease are usually fever and other anti-fouling agents used. But research on cancer and fever and fever and allergy has shown that fever is a form of self-regulation. Anthroposophical contribution is limited to use antipyretics, but good guidance. He also brought to the example of hay fever, and misteltherapie. So the focus on self-regulation, but will still need to refine.
Then came the turn of health economist Peter Kooreman, together with Erik Baars an exploratory study published in June 2010 to anthroposophic therapies (see " Anthroposophic care cheaper). He felt like a bit of an economist stranger in our midst, between all these people care. But the question is anthroposophic medicine cost effective? "He seemed perfectly in place right here. He stated that this well-mainstream research is sorely needed. But then the costs and benefits or be considered in conjunction with a comprehensive biographical look at that. There are adequate data, and the greatest care in the statistical analysis. An example of what not to do was for him the news in newspaper Trouw on 14 February 1992, with data from health Spaarnelanden was concluded that the cost of anthroposophic medicine is lower. This conclusion was based on the available data can never be drawn.
Kooreman gave an illustrative example of data with which you are all ideally should take into account the relationship between costs and benefits. But in practice are very difficult to obtain, he demonstrated with his own research and in a recent Swiss study (see also "Swiss study cost complementary therapies ).
A particularly timely issue Kooreman see any here: what really sets Anthroposophy? He is affiliated with the University of Tilburg, the above study who showed great benevolence. But if you want to continue, must be clear what is involved. Anyone know what acupuncture and homeopathy, it has an idea for. But that is not in what anthroposophy is. That hurdle has yet to be taken and would launch very greatly facilitate research.
The last lecture was on behalf of Professor Annette Weiss Kircher, they talked about "in der Gesundheitsförderung Eurythmietherapie. She works at the Hochschule für Kunst und Gesellschaft Alanus, where since 2003 in recognition of this discipline exists. Since 2007 there is even a master eurythmy. There euritmiestudie the four directions: Bühneneurythmie, Eurythmy in soziale Arbeitsfeldern, and Eurythmiepädagogik Eurythmietherapie.
Weiss Kircher spoke about her research on hay fever treatment with curative eurythmy. I could not help feeling that this study, in any case the investigation forward, still in its infancy. Then we in the Netherlands in recent years has made a lot more steps! Where practical, to finding an optimal exchange between theory and practice. Now, eurythmy is a difficult research area, difficult to concrete. There was also still based on the evidence of what Steiner nearly one hundred years ago, has raised a particular occasion to charged. Not bad, but that you have moved or in a difficult position. But as Germans own, is very thorough and intensive work, so who knows what else comes out! "
The following report is titled " NVAZ in recovery: ALV on November 23, 2010 ':
' NVAZ Chairman Bert Potts waved down with the scepter at the General Assembly of the NVAZ on November 23, 2010. He had to because a strong hand had been necessary this Dutch Association of Anthroposophical Care Providers to smooth waters without assistance. Also on this night he took the helm, also led to the approval of the board meeting with a new composition. That meant the resignation of veteran Marinus van der Meulen and Roel Munnik, with great thanksgiving. The sticks were taken over by four new members: Pim Blom Nature (Board Raphael Foundation), French Broekhuizen (Board Solar Houses), Mieke van den Goorbergh (President of the Dutch Association for Art Therapy and anthroposophy) and Age van der Veer (director of psychiatry and addiction Lievegoed Care Group). They will take their place alongside current member and chairman Bert Potts Madeleen Winkler.
An important agenda item was the adoption of the budget for 2011. It was still November, but it seemed to have succeeded in the current year 2010 with a small positive amount to close. An achievement, given the deficits that NVAZ tricks played in the past. Such a healthy economy can only continue in the future through the budget significantly lose weight. The contribution for the next few years early, however, still an explanation. It was nice that it was significantly reduced, but that was only for institutional care sector, not for the agents and professional associations. Sat there is a clear rationale: it is the latter two sectors make relatively heavy use of the services of the NVAZ, while the institutional health care providers often own a large proportion are already provided for. Their contributions are relatively high. The new contribution key supplies a total decrease of 3%, with the institutions as a whole fell by 6.5%. The other two areas sometimes get the feeling of having to pay twice because they are often the same people in both therapeutics and in the professional have to pay, unfortunately there is not much to do. Remains relatively true to the cheap and therapeutics sector's contributions are more evenly distributed.
There was a question raised by the contributions to international bodies, which would thus be reduced along, one could in those long-standing commitments from? That was clearly a pain point, which also should apply here: past performance is no guarantee for the future. Everything is reviewed, as is this.
happy news, the vote on policy issues that went like quality project proposals, communications and marketing, and coordination of education. Many talked about working to bring together a training academy for anthroposophic medicine. A good sign was the successful coordination of the progress of chair and professorship for four years. Chairholder Hans Reinders (for free) by anyone asking about his subjects to speak.
It appeared that health insurers like the NVAZ like to approach the entire field of communication, quality, Complaints, therapists and vocational training. The NVAZ really has a role to play.
The second part of the evening was reserved for a contribution of Pim Blom Nature on the subject of distance and proximity. He hooked on to some nursing home, philosopher and writer Bert Keizer and professor of ethics of care Annelies van Heijst have to say. But Blom Nature allowed the audience very specifically, by their own examples of proximity to the extreme and caricatured to ask. So with detachment. And then the same two-pronged exercise of proximity and distance, as regards the ideal case. Then these two extremes a little reflective contemplation to devote which searching of the center as a preferred, and for anyone walk away could be proposed.
So did the General Assembly of the NVAZ over. This was just a brief impression of this meeting, the official report will soon be available. The next general meeting is scheduled for Tuesday, April 5, 2011 from 18.30-21.30 hours, the program will be sent in good time! "
The third and final report in this regard, the Digital Expansion 'Health PAG-wide on January 19 ':
"On January 19 this year was held in Driebergen a" PAG-wide 'meeting held on everyone involved in a form of anthroposophic medicine. The theme was chosen for "Health in anthroposophic medicine" with the underlying question "How is it tied to the anthroposophic care practice? How visible is this? Is a different direction desired? "
In 2009 there was a previous general meeting of the Anthroposophical Healthcare Platform (PAG) on the theme" social visibility ". See the speeches " PAG meeting" Social Visibility "" and "The anthroposophic medicine in 2009. In the PAG will together representatives of service providers, the rural patient, the national parent union, training, research, pharmaceutical companies, all involved in the field of anthroposophic medicine.
The meetings of the PAG last year was focused on questions of identity and profile of anthroposophic medicine. Presents them as "regular plus" or integrative or sustainable health care? The preventive aspect of care is discussed. The concept of prevention was found to have many different meanings and to evoke confusion.
Health is a theme throughout the healthcare much attention. This topic was briefly introduced by Erik Baars from the research and also from a patient perspective. Autumn 2010 was a meeting titled "Incentives for a future health care", which grew from a partnership of the University Network, Weleda SA and the Iona Foundation. See also " Towards a future health care. Invitational Conference on September 10 . The compressed results of this meeting will appear in the form of a manifesto. This brings forth elements for the health topic of interest. Hans Nijnens brought these elements of the manifest to the front.
in the Garden Room of Great Antropia was only a small and select group of 25 participants met, but there was discussion after the lectures no less interesting. PAG-chairman Ted van Schie kicked off, and the Raven Truida referred to the previous PAG-wide Jerome Lutters, involving the various current generations. And the fact that you anthroposophic medicine can not be as present as five years ago. As encountered in a flyer at the time was characterized as "addition for anyone". Soon came forward Erik Baars, lecturer Anthroposophical Health Care at Leiden University, with a contribution that would partially overlap with his presentation at the lectoraatsdag in November, said he apologized for.
He began by defining what health is, and that this should be improved. The old was drafted in 1948 yet, this was the end of 2009 an international meeting organized by the Health and ZonMW. Traditionally comes the idea that illness must be fought.
But it can be different. Ideally, the health center, with elements around it such as physical adaptation and vitality, "resilience" (resistance), salutogenesis (self-healing), "Role Taking" (take responsibility). From this gaze direction perceived health is dynamic self-regulation at three levels, including a capacity to learn includes:
Physical self-regulation: inflammation, with fever and rhythms.Psychosocial self-regulation: social and emotional skills.Meaning: self-regulation in the biography, life goals and tap into resources.
But there is also evidence in the existing scientific literature on these three levels? Yes, said Professor Eric Baars. He gave some examples:
- fever related to cancer,- fever and inflammation in relation to allergic diseases (Ill for future health can be, for example on a care farm in contact with impure substances, so that later more antibiotic use is necessary),- Sense of Coherence and Health: a strong relationship to the mental side with quality of life, less illness and death, for example up to 30% less cardiovascular disease and cancer,- meaning: a similarly strong correlation with quality of life.
What does this mean for the patient's perspective? It underlines the importance of the competent patient, where possible, self, by:
- illness as a task to see- set their own targets,- to retain autonomy,- to reflect on the possibilities- and actively use resources to do so.
What is the anthroposophical contribution to the patient's perspective? Some examples:
- restraint policies fever and antibiotics,- self-regulatory skills for body, mind and meaning,- extensive experience in professional integration of disease control and self regulation.
In anthroposophical care knowledge and expertise present in these areas. This combination of knowledge and expertise may well be called unique. Now it is about that excess visible and to contribute, both conceptually and professionally. That will help shape a clear profile and positioning.
Nijnens Hans then gave one back at the symposium on September 10, 2010, on building blocks for the future of healthcare. He brought three levels of change on the table: content, organization and finances.
As content: preference for a health promotion approach rather than a disease-fighting. But by good research into the sources thereof; academic research has mostly a different emphasis. The main philosophical currents are different scientific approaches to identify. It is the humanization of care, rather than medicalization of care.
What organization: the emancipation of the patient is only half advanced. Besides patients also have rights obligations. As responsibility for their own health, which can grow a new solidarity. The code would appeal, should be amended.
far as financing is concerned, the individualization process and make their own choices is a fact. It would also significantly increase the contribution to hear, and just less to the collectivity. Now it is true that the quantity financed, rather than quality. There may be more, technically speaking. This raises the question: what is and what not? So should real ethical choices.
After the break, broke the discussions. There were three statements about health promotion introduced:
1. self-regulation at three levels is already present in the anthroposophic medicine,2. More can be developed,3. More can be profiled - but how to make it visible and findable?
The participants gave some good examples: North-Holland will people sitting around the table as free school, therapeutic and outpatient mental health counseling, to see what we can do for each other and if necessary to refer to each other.
The Dutch Association of Anthroposophical Doctors placed at the Pink Ribbon campaign, a small ad about breast cancer, and referred to the comprehensive story to its website, more specifically about what was found. Very recently, the intention is born to the vaccination brochure of the Centre for Social Health entirety online.
Hans Nijnens emphasized in always building your claims with scientific evidence. Erik Baars recently revealed that grant is obtained development of care programs. Thus, the recognition of their own care, including indications, a great incentive to get. The grant is specifically for colleges that practice and theory of knowledge together. The research group Anthroposophical Health has in that area a lot to offer. "
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